Provider Demographics
NPI:1780796094
Name:COLONIAL BEACH PUBLIC SCHOOLS
Entity type:Organization
Organization Name:COLONIAL BEACH PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FED. PROGRAMS,SPED/GIFT
Authorized Official - Prefix:MS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:SIMMS
Authorized Official - Last Name:BERRYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:804-224-8080
Mailing Address - Street 1:16 IRVING AVE N
Mailing Address - Street 2:
Mailing Address - City:COLONIAL BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:22443-2324
Mailing Address - Country:US
Mailing Address - Phone:804-224-8080
Mailing Address - Fax:804-224-8357
Practice Address - Street 1:16 IRVING AVE N
Practice Address - Street 2:
Practice Address - City:COLONIAL BEACH
Practice Address - State:VA
Practice Address - Zip Code:22443-2324
Practice Address - Country:US
Practice Address - Phone:804-224-8080
Practice Address - Fax:804-224-8357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)